MARISA BUSHMAN (NPI# 1376918235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376918235 |
| Entity Type | Individual |
| Full Name | MARISA BUSHMAN |
| Other Name | MARISA MITCHELL |
| Credential | AU.D. |
| Practice Address |
6700 France Ave S Suite 300 Edina MN 55435-1902 |
| Practice Telephone | 9523453000 |
| Practice Fax Number | 9523456789 |
| Mailing Telephone | 9523453000 |
| Mailing Fax Number | 9523456789 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 1457 | ND | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | 9586 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
6700 FRANCE AVE S SUITE 300 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242355 | Kimberly A Lund | Physical Therapist | 6700 France Ave S, Suite 230, Edina, MN 55435-1902 | 2006-08-15 |
| 1104361724 | Rachel Ahn | Physical Therapist | 6700 France Ave S, #300, Edina, MN 55435-1902 | 2017-01-05 |
| 1417318957 | Amber E Dionne | Physician Assistant | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2016-03-11 |
| 1093192213 | Angela Jane Everson | Physical Therapist | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2015-04-27 |
| 1396142568 | Kenzie Jackley | Physician Assistant | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2014-12-03 |
| 1942605639 | Lori Ann Kehoe | Physical Therapist | 6700 France Ave S, Suite 300, Edina, MN 55435-1902 | 2014-10-24 |
| 1871992313 | Jill Schoeppner | Physical Therapist | 6700 France Ave S, Suite 230, Edina, MN 55435-1902 | 2014-08-21 |
| 1184035792 | Community Health and Immunization Services, LLC | Community Health Worker | 6700 France Ave S, Suite 150b, Edina, MN 55435-1902 | 2014-05-16 |
| 1578992772 | Passport Health Holdings LLC | Clinic/Center | 6700 France Ave S, Ste 150, Edina, MN 55435-1906 | 2013-11-07 |
| 1154756823 | Melissa Marie Wick | Physical Therapist | 6700 France Ave S, Suite #300, Edina, MN 55435-1902 | 2013-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625290 | Kara Rae Balken | Audiologist | 7300 France Ave S Ste 101, Edina, MN 55435-4525 | 2019-05-28 |
| 1306178603 | Stephen C Hutt | Audiologist | 4420 Valley View Rd, Ste 301, Edina, MN 55424-1870 | 2010-02-11 |
| 1184797946 | Dawn R Galloway | Audiologist | 7373 France Avenue S, Ste 302, Edina, MN 55435-4538 | 2006-11-17 |
| 1114999141 | Todd Adrian Lunda | Audiologist | 6550 York Ave S, Suite 305, Edina, MN 55435 | 2006-02-03 |
| 1689646697 | Michael Scott Oscarson | Audiologist | 6550 York Ave South, Suite 305, Edina, MN 55435 | 2006-02-03 |
| 1144226739 | Paula L. Schwartz | Audiologist | 7450 France Ave S, Ste 280, Edina, MN 55435-4828 | 2005-06-28 |
| 1992367619 | Sarah Ann Kaufman | Audiologist | 6444 Xerxes Ave S, Edina, MN 55423-1039 | 2019-07-02 |
| 1952812927 | Rachel Elizabeth Allgor | Audiologist | 6444 Xerxes Ave S, Edina, MN 55423-1039 | 2017-10-18 |
| 1619413507 | Briana Burgan | Audiologist | 6700 France Ave S Ste 300, Edina, MN 55435-1908 | 2017-01-16 |
| 1851766166 | Soundgate Hearing LLC | Audiologist | 7300 France Ave S, Suite 100, Edina, MN 55435-4525 | 2015-12-11 |
| Find all providers in EDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.